Term
Prednisone, Prednisolone, Methylprednisolone, Dexamethasone, Hydrocortisone,Flunisolide, Beclomethasone, Fluticasone, Triamcinolone, Budesonide |
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Definition
- Glucocorticoid receptor agonist that mimic cortisol function by acting as agonists at the glucocorticoid receptor
- Inflammatory conditions
- Autoimmune diseases
- Replacement therapy for primary and secondary adrenal insufficiency
- Contraindicated in patients w/ systemic fungal infection
- tapered off slowly or can lead to acute adrenal insufficiency
- needs to be in active form if not in area that has 11β-HSDI (in liver)
- cleared from Kidney 11β-HSDII (kidney)
- last four are inhaled |
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Term
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Definition
- Competitive antagonist of cortisol action at the glucocorticoid receptor (type 2)
- Abortion (through 49th day)
-Ectopic ACTH tumor
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Term
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Definition
- Inhibitor of glucocorticoid synthesis at rate limiting step
- Structural analogue of DDT
- Medical adrenalectomy in severe Cushing syndrome or andrenocortical carcinoma
- causes hypercholesterolemia
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Term
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Definition
- inhibits side-chain cleavage enzyme as well as aromatase (androgens --> estrogens)
- Cushing's syndrome |
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Term
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Definition
- Inhibits 11β-hydroxylation, resulting in impaired cortisol synthesis
- disinhibition of ACTH secretion which allows for testing of ACTH reserve
- Diagnostic evaluation of hypothalamic-pituitary-adrenal axis |
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Term
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Definition
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Term
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Definition
- Agonist at the mineralocorticoid receptor (type 1 glucocorticoid receptor)
- Hypoaldosteronism
- contraindicated in systemic fungal infections
- mimics a state of mineralocorticoid excess (hypertension, hypokalemia, cadiac failure)
- must monitor serum potassium level as well as BP |
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Term
Spironolactone + Eplerenone |
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Definition
- Mineralocorticoid receptor antagonist that are competitive antagonists of aldosterone action at the receptor
- increases sodium levels |
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Term
Dehydroepiandrosterone (DHEA) |
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Definition
- Prohormone that is converted to testosterone in the periphery
- roids |
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